Individual ProviderJohn W CookObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address291 E Layfair Dr, Flowood, MS 39232-9527(601) 936-9190PECOS EnrollmentThis provider is enrolled in PECOS as JOHN COOK.Based on the most recent information from CMS, provider John W Cook is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033253877Provider TypeIndividualFull NameCook, John WTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date2/16/2007Last Updated4/21/2011Contact InformationPractice LocationPractice Address291 E Layfair Dr, Flowood, MS 39232-9527Phone(601) 936-9190Fax(601) 932-6714Mailing LocationMailing Address291 E Layfair Dr, Flowood, MS 39232-9527Phone(601) 936-9190Fax(601) 932-6714Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicense12495MississippiProvider IdentifiersIDDescriptionIssuerID00112394DescriptionMedicaidIssuerUnlistedMississippi